Active NPI
Leslie Anderson, LMFT
- Marriage & Family Therapist
- Hattiesburg, MS
National Provider Identifier
1376909689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T0471
- Practice address
- 34 Millbranch Rd Ste 60
Hattiesburg, MS 39402-1687 - Phone
- (769) 222-4069
- NPI assigned
- Jan 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T0471 | MS | Primary |
Addresses
Primary practice location
34 Millbranch Rd Ste 60
Hattiesburg, MS 39402-1687
Mailing address
2 Cosmos
Hattiesburg, MS 39402-7051
Phone (601) 212-0419
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0471 | MS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1376909689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 COSMOS",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394027051",
"telephone_number": "601-212-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 MILLBRANCH RD STE 60",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021687",
"telephone_number": "769-222-4069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-04",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MS",
"license": "T0471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.